| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KHI SOLUTIONS LLC Filed as: KHI FINANCIALS SOLUTIONS | 130 N 25TH ST FORT DODGE, IA 50501 | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | $18K | — | $18K | 0.87% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIR STE 300 OMAHA, NE 681143721 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $64 | $10K | 7.87% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 600063009 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.85% |
| KHI SOLUTIONS LLC | 130 N 25TH ST FORT DODGE, IA 50501 | DEARBORN NATIONAL | $3K | — | $3K | 15.05% |
| WELLMARK INC | PO BOX 10481 DES MOINES, IA 50306 | DEARBORN NATIONAL | $0 | $2K | $2K | 11.03% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 327 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 327 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 327 | $2.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 557 | $126K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 557 | $126K |
| Life insurance | DEARBORN NATIONAL | 376 | $20K |
| Other | DEARBORN NATIONAL | 376 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 557 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.